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NPI Code Detail

MEDICARE: ELISABETH WARD NP

MEDICARE:   ELISABETH  WARD  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerRN155919GA

General Provider Information

NPI Number : 1821945106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH WARD NP
Provider Business Mailing Address
First Line : 1281 FAIRVIEW RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4661
Country : US
Telephone Number : 770-331-9280
Fax Number :
Provider Business Practice Location Address
First Line : 1281 FAIRVIEW RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4661
Country : US
Telephone Number : 770-331-9280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2026
Last Update Date : 03/14/2026

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